Final Diagnostic Criteria for DSM-5 Approved by APA

After several overall changes and changes to specific disorders, Board of Trustees approved DSM-5

MONDAY, Dec. 3 (HealthDay News) -- The final diagnostic criteria for the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) have been approved by the American Psychiatric Association (APA) Board of Trustees.

Starting in 1999, the APA engaged close to 400 international research investigators in the initial phase of the revision. A DSM-5 Prelude Web site was launched in 2004 to invite comments from the wider clinical, research, and consumer communities. The DSM-5 Task Force and Work Groups reviewed scientific advances and research-based information, culminating in a first draft which was posted publicly in February 2010, followed by two further drafts. The final version was independently evaluated by a Scientific Review Committee, a Clinical and Public Health Committee, and members of the Council on Psychiatry and Law.

According to the report, changes made by the APA Board of Trustees include changes to chapter order, with the chapters restructured based on disorders' relatedness to one another, and removal of a multiaxial system (DSM-5 will use a nonaxial documentation of diagnosis). In addition, changes were made to various disorders, including autism spectrum disorders (ASD), which will incorporate several different diagnoses from DSM-IV (e.g., Asperger's disorder will now be under the ASD umbrella). Disruptive mood dysregulation disorder has been included to address concerns about overdiagnosis of bipolar disorder among children. In addition, new disorders have been added, including excoriation disorder and hoarding disorder.

"At every step of development, we have worked to make the process as open and independent as possible," James H. Scully, M.D., medical director and chief executive officer of the APA, said in a statement. "The level of transparency we have strived for is not seen in any other area of medicine."

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